Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CENTRAL TEXAS PEDIATRICS

NPI: 1306032248 · WACO, TX 76710 · Specialist · NPI assigned 09/24/2007

Deactivated NPI · This NPI was deactivated on 07/27/2010. Reactivated 01/07/2013.
$1K
Total Medicaid Paid
57
Total Claims
48
Beneficiaries
3
Codes Billed
2020-10
First Month
2020-10
Last Month

Provider Details

Authorized OfficialMADISETTY, SUDHIR (OWNER)
NPI Enumeration Date09/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 57 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 14 $621.60
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20 18 $553.35
90460 Immunization administration through 18 years of age via any route, first or only component 23 16 $146.62